﻿<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<?xml version="1.0" encoding="UTF-8"?>
<html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en">

<head>
  <meta name="verify-v1" content="6i/N6+rlQ/L2Ro4akvocmVo22ayXRZ2WbpdVkxtzuwM=" />
  <meta name="y_key" content="107d857063b8f9ec" />
  <meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
  <meta http-equiv="Content-Style-Type" content="text/css; charset=UTF-8" />
  <meta http-equiv="keywords" content="" />
  <meta http-equiv="description" content="" />
  <link rel="shortcut icon" href="/eng/favicon.ico" />
  <link rel="start" href="/eng/index.html" title="<bean:message key="cstp100.001"/>" />
  <link rel="help" href="/eng/sitemap/index.html" title="<bean:message key="cstp100.002"/>" />
  <title><bean:message key="cstp100.000"/></title>
  <%@ include file="../common/common_css.jsp" %>
  <%@ include file="../common/common_js.jsp" %>
  <%@ include file="../common/menuLink.jsp" %>
  <script type="text/javascript" src="${f:url('/js/menu.js')}"></script>
  <script language="JavaScript">
  <!--
    // 初期表示
    function func_load(){
      // オートコンプリート無効化
      func_disabled_auto_complete();
    }

    // 確認画面へボタン
    function func_check(){
      var f = document.forms[0];
      var reg = f.regionvar.value;
      if(reg == ""){
        if(f.region.value != ""){
          f.regionvar.value = document.getElementById('region').options[f.region.value].text;
        }
      }
      f.returnFlag.value = "1";
      f.action = "${f:url('/csas/csas201/check/')}";
      f.method = "POST";
      f.submit();
    }

    // ListChange
    function funcChangeList(){
      var f = document.forms[0];
      var index = document.getElementById('region').selectedIndex;
      f.regionvar.value = document.getElementById('region').options[index].text;
    }
  //-->
  </script>
</head>

<body onload="func_load();">
  <div id="screenMode">

    <div id="container">
      <a name="top" id="top"></a>

      <!-- header -->
       <%@ include file="../common/header.jsp" %>

      <div id="maincontents" class="clear">

        <div id="colLeft">

          <!-- Menu -->
          <%@ include file="../common/menu.jsp" %>

        </div><!-- colLeft -->
<s:form action="/csas/csas201" >
<div>
<html:hidden property="regionvar" />
</div>
        <div id="colRight">

          <h1><bean:message key="csas201.001" /></h1>

          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.002" /></div>
          <div id="inputArea">
            <div class="wspace" style="width:540px;">${f:h(emailAddress)}</div>
            <html:hidden property="emailAddress" value="${emailAddress}" />
            <html:hidden property="returnFlag" value="" />
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.003" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="firstName"  maxlength="30" value="${ firstName }"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.004" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="lastName" value="${ lastName }" maxlength="30"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.005" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="company" value="${ company }" maxlength="100"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.006" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="department" value="${ department }" maxlength="100"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.007" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="phone" value="${  phone }" maxlength="20"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.008" /></div>
          <div id="inputArea" class="required">
           <html:select property="region" styleId="region" onchange="funcChangeList()" style="width:151px;">
            <html:optionsCollection name="regionList" value="key" label="value"/>
            </html:select>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.012" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="country" value="${ country }" maxlength="100"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"><bean:message key="csas201.013" /></div>
          <div id="inputArea" class="required">
            <input type="text" name="city" value="${ city }" maxlength="100"/>&nbsp;*
          </div>
          <div id="inputAreaTitle" class="informationUpdate"></div>
          <div id="inputArea" class="mt10">
            <input type="button" value="<bean:message key="csas201.011" />" onclick="func_check();" />
          </div>
          <div id="inputAreaTitle" class="informationUpdate"></div>
          <div id="inputArea" class="required"><bean:message key="csas201.009" /> <font color="#000000"><bean:message key="csas201.010" /></font></div>

        </div><!-- colRight -->
        <div id="colRight" style="width:910px;">
          <logic:messagesPresent>
            <div>
              <b><font color="red" ><bean:message key="found_error" /></font></b>
              <html:errors />
            </div>
          </logic:messagesPresent>
        </div><!-- colRight -->
        <%@ include file="../common/session.jsp" %>
</s:form>
      </div><!-- maincontents -->

      <!-- footer -->
       <%@ include file="../common/footer.jsp" %>

    </div><!-- container -->

  </div><!-- screenMode -->


</body>

</html>
